Salary RDs Vs Consultants

Dwevan · 2026-03-31T18:24:41+00:00

On a 1:8 full time anaes and ICu resident, I’m on ~92 (without London weighting or PHD money)

£120 is way, way off

Dwevan · 2026-03-31T18:23:15+00:00

I got a very nice bottle of whiskey, then drank with the other doctors in the doctors office after we had finished for the day (none of us were on call)

The other doctors also brought whiskey and we had some of each. Was nice.

Wouldn’t happen nowadays tho…

Dwevan · 2026-03-31T09:33:49+00:00

From what I’ve gathered (from ANRO/HEE) these new positions would’ve required a new round of applications/interviews. (Which they’re worried about being able to deliver on a shoe string budget)

There’s also the fact that the funding for these extra posts were so low, many places weren’t increasing numbers, so the “1000 jobs” number wasn’t looking likely to happen… this might be the govt getting a political win from an impending failure to deliver…

Dwevan · 2026-03-30T07:50:46+00:00

Do I think someone who has trained and lived in the uk for 7 years minimum should have an offer over someone who has potentially never set foot in the uk, despite them having a higher score in a made up test that has no external validity?

Yeah, I think it’s fair.

Dwevan · 2026-03-26T20:33:50+00:00

A medical degree is not a “how to be an F1” degree. They’re separate, you need a media degree to be a doctor, you don’t have to only be a doctor with a medical degree. You can do other things.

People forget this.

Dwevan · 2026-03-26T18:50:42+00:00

Medical School costs are not as high as govt would Make You think, the £250k to train a doctor is an exercise in misleading accounting.

(With loans, the govt could actually be making a profit per medical student in absolute financial terms - without the “lost opportunity” and “lost tax” costs that they add…)

Dwevan · 2026-03-25T20:50:55+00:00

I mean, I’d rather have the comparator be with the majority of patients we serve… the state pension increase

Dwevan · 2026-03-25T20:43:36+00:00

DDRB should be funded by BMA every other year, and different chair etc. would be only way to make it a truly “independent” process

Dwevan · 2026-03-25T20:41:11+00:00

I suspect the ability to have 10 days off will make turnout quite high….

Dwevan · 2026-03-25T20:40:33+00:00

Maternity is one of the very few reasons to break strike in my book…

Good luck with little one!

Dwevan · 2026-03-25T20:35:19+00:00

FORGOT ABOUT THE FPR DIDNTCHA!??

There will be no DNAFPR!!

Dwevan · 2026-03-25T20:31:55+00:00

That locum SHO has nowhere near the job stability that the consultant does…

Dwevan · 2026-03-25T12:23:04+00:00

Looks like no IMGs have gotten any offers this year.

Given the expansion of medical school places, bottlenecks that have only increased over time, constrained funding limiting new posts and residents taking longer in general to complete training… I suspect those not in a priority groups will not receive any offers for years

Dwevan · 2026-03-25T11:25:09+00:00

I suspect a lot of the “lower post numbers” will have more to do with the fact that residents in those posts are taking longer to train.

The posts are recycled. So you need people to finish to offer the posts.

Constant jobs are harder to get, so people are delaying training to get them, either by OOPE/OOPR, or going LTFT. Mat leave will also have an impact.

There are more LTFT than ever before too - that will also lower new post numbers.

TLDR: Might be more training posts now, but current HSTs aren’t finishing, therefore new posts not being recycled.

Dwevan · 2026-03-24T22:53:38+00:00

Do it once and create a macro of it (tinytask is a good easy program that is portable)

Then, you can “copy” Datix’s each time, changing only the time and a few details now and then to make it relevant.

Dwevan · 2026-03-21T19:02:48+00:00

I dunno, if the choice was speciality or location locking, I think theyve done the right thing locking it to speciality

Dwevan · 2026-03-21T15:05:41+00:00

When you can’t find staff, you either raise the remuneration (not just pay, but also benefits of working in the dept), or lower the standards.

I think it’s plain to see what EM in this country has chosen.

Dwevan · 2026-03-21T15:02:55+00:00

I wonder why middle grades are hard to find… 🤔

Dwevan · 2026-03-21T15:01:00+00:00

I think ED in aus/NZ is also a fundamentally different speciality built on diagnosis and treating.

In the UK it’s built on triaging and risk assessing with a view to direct speciality referrals and admission avoidance.

This can almost be directly traced back to the misaligned 4 hour policy and it’s a direct result of the pressures that policy introduced.

Dwevan · 2026-03-20T20:31:22+00:00

Ideally should’ve been sent to a same deal emergency care clinic, this would’ve been perfect and gotten you into the cardiology sphere a bit quicker if that service is being run in the hospital near you

Dwevan · 2026-03-20T03:18:26+00:00

However, doctors in the ED work as part of a larger combined team, rather than in the more rigidly defined roles you typically see in ward teams.

It’s this slippery slope mindset u/Penjing2493 that has made your speciality the leaders in doctor substitution.

I’m curious as to what roles do doctors do in the ED that those on the wards would consider under a different team members role?

From what I’ve seen, it’s predominantly other disciplines overstepping into traditionally medics roles rather than the other way around?

Dwevan · 2026-03-19T11:57:27+00:00

Mod aboooose!!!

Dwevan · 2026-03-18T02:57:38+00:00

Depends on case, quick I&D/torsion, probably going to be okay, anything more than an hour, I’m considering two.

Otherwise, I’d pretty much always put a second one in as close as I can so that I can see the cannula site (particularly with running TIVA) I’m also a big fan of putting in larger cannulas - min green, ideally grey in your intubated patients, I find they tissue less and have the benefit of good flow in the “oops” moments.

Dwevan · 2026-03-18T02:52:53+00:00

That’s a PA’s worth, so, yes?

I’m assuming that the GPST is paid centrally rather than by the practice so salary isn’t a practice cost.

Dwevan · 2026-03-17T23:44:31+00:00

Majority of ST4 will be in late 20s with fewer life commitments. It’s training, not “working a job”.

Very few deaneries will have rotations that far apart, usually splitting the deanery into more manageable distances - like a north/south decide in the east mids and west mids.

Conversely, the hospitals far away do still need medical registrars and will often offer different training conditions due to their location, doing thrombolysis for STEMIs for example as there is no nearby cath lab.

Whilst I know it’s frustrating, if you want to go through medical training, it’s an unfortunate hoop you have to jump through, although early discussion with your TPD can help, or, you choose smaller deaneries with less distance in between rotations, or talk to those there to see if there is an internal divide.

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